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Nephrology and Hypertension            

 

Chronic Kidney Disease Program


Director: Snezana Mijovic-Das, MD

According to the National Kidney Foundation, 26 million Americans have kidney disease and millions more are at an increased risk. Chronic kidney disease (CKD), also known as chronic renal disease, is a progressive loss in renal function over a period of months or years.

Often, chronic kidney disease is diagnosed as a result of screening of people known to be at risk of kidney problems, such as:

  • High blood pressure or diabetes
  • Having a blood relative with chronic kidney disease.

Chronic kidney disease may also be identified when it leads to one of its recognized complications, such as hypertension, cardiovascular disease, anemia, mineral bone disease or pericarditis.

Chronic kidney disease is identified by a blood test for creatinine. Higher levels of creatinine indicate a reduction in glomerular filtration rate (measure of kidney function), and as a result a decreased capability of the kidneys to excrete waste products. Creatinine levels may be normal in the early stages of chronic kidney disease, and the condition is discovered if a urinalysis shows loss of protein or red blood cells into the urine.

To better understand the underlying cause of kidney damage, various forms of medical imaging, blood tests and often renal biopsy (obtaining a small sample of kidney tissue) may be completed to determine if the cause for kidney malfunction is reversible. If untreated, kidney disease can cause serious complications including:

  • High blood pressure
  • Anemia
  • Weak bones
  • Nerve damage
  • Heart disease

If kidney disease worsens, it may lead to end stage renal disease and kidney failure, requiring dialysis or kidney transplant.


Dr. Snezana Mijovic-Das has extensive experience in the management of all aspects of chronic kidney disease. She is dedicated to each patient who receives her full attention during a visit and creating a connection during the follow-up phase of the disease process. Developed by Dr. Mijovic-Das, The Chronic Kidney Disease Clinic at Albany Medical Center is the first of its kind in the entire Capital District Region. Under her leadership, the program strives to provide the best overall care for patients and slow disease progression through a multidisciplinary team approach to treatment plans and patient education.

During a visit, patients will be invited to meet with the full team of providers, including Dr Mijovic-Das, a nurse practitioner, nurse manager, dietician, social worker, dialysis access nurse and pharmacist. The physician provides the treatment plans while the remaining health management team provides necessary support and instruction for the patient.

At Albany Med, we believe that our patients are valued members of our CKD Program. Therefore, patients are given free access to ongoing education and instruction on such critical topics as:

  • Prevention methods
  • Complications
  • Disease management
  • Diet and nutrition and more.

In this way, patients can also be active participants in their ongoing health and well-being.


Who Will Benefit?

All patients with a GFR<60ml/min; less than 40 ml/min as well as <15ml/min will benefit from this program. The CKD Clinic will accept referrals for evaluation of patients with wide range of chronic kidney disease.

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